摘要
随着宫颈病变的年轻化以及宫颈环形电切除术的广泛开展,妊娠期行宫颈环形电切除术的安全性及对妊娠结局的影响成为医患双方共同关注的焦点。妊娠期宫颈病变有较小的恶化趋势,妊娠期可予随访,定期行细胞学及阴道镜检查,于产后6周复查,根据病理结果按宫颈病变妇科治疗原则处理。宫颈癌前病变及原位癌的稳定状态与分娩方式无关,分娩方式的选择取决于产科指征,无特殊指征的患者仍提倡阴道分娩。宫颈环形电切除术对妊娠结局的影响尚有争议,须进一步大样本研究证实。
With the increasing younger patients of cervical lesion and broad application of loop electrosurgical excision procedure （LEEP） , the safety and influence of LEEP in the gestational period has become the focus of doctor-patient. Cervical lesion has lesser deterioration rate in the gestational period, which can be followed up by cytology and colposcopy and treated in gynecological principle according to the pathological outcome, and rechecked 6 weeks postpartum. The delivery model is independent on the stable state of precancerous lesion and carcinoma in situ, which is associated with the obstetrical indication, and vaginal delivery is the better way. The in- fluence of LEEP to the pregnancy is stiu controversial, which is needed to be confirmed with a larger trials.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2010年第4期252-254,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
妊娠结局
宫颈环形电切除术
安全性
pregnancy outcome
cervical loop electro-surgical excision procedure
safty
